How It Is Done
This biopsy is done by a
surgeon or a doctor who specializes in men's sexual
problems (urologist) in the doctor's office, a day surgery
clinic, or a hospital operating room.
You will lie on your back on an examining table. The skin over your
testicle is cleaned with an antiseptic solution, and the area around it is
covered with sterile cloth. Your doctor will wear sterile gloves. It is very
important that you do not touch this sterile area.
A local anesthetic will be injected into the skin of the scrotum to
numb (anesthetize) the area. Then a small incision is made through the skin,
and a tiny piece of testicular tissue is removed with small scissors. A single
stitch is used to close the incision in the testicle, and another stitch is
used to close the incision in the skin. (Absorbable sutures are used so the
stitches do not need to be removed.) The procedure is usually repeated on the
other testicle. The scrotal area is then bandaged. You will be asked to wear an
athletic supporter for several days after the procedure to help support the
testicles while the incisions heal.
If a general anesthetic is used, you will be asleep during the
procedure but the same method will be used.
The biopsy usually takes 15 to 20 minutes. You will probably be
advised to refrain from sexual activity for 1 to 2 weeks after the biopsy. You
should avoid washing the area for several days.